互动式健康教育联合Orem理论干预在老年骨肿瘤患者中的应用效果  

Application effect of interactive health education combined with Orem theory intervention in elderly patients with bone tumors

作　　者：李怡飞 王婕妤 刘琼[1] 王培霞[1] 吴九平 LI Yifei;WANG Jieyu;LIU Qiong;WANG Peixia;WU Jiuping(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院骨科,郑州4500000

出　　处：《癌症进展》2024年第13期1470-1473,共4页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220354)。

摘　　要：目的探讨互动式健康教育联合Orem理论干预在老年骨肿瘤患者中的应用效果。方法根据干预方法的不同将82例行骨肿瘤保肢术治疗的老年骨肿瘤患者分为观察组(n=40,互动式健康教育联合Orem理论干预)和对照组(n=42,常规干预)。比较两组患者的自我效能感[中文版癌症自我管理效能感量表(C-SUPPH)]、自护能力[自我护理能力测定量表(ESCA)]、生活质量[癌症患者生命质量测定量表体系(QLICP)]、满意情况和住院时间。结果干预后,两组患者C-SUPPH、ESCA、QLICP各维度评分均高于本组干预前,观察组患者C-SUPPH、ESCA、QLICP各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的总满意度高于对照组,住院时间短于对照组,差异均有统计学意义(P﹤0.05)。结论互动式健康教育联合Orem理念干预能有效提高老年骨肿瘤患者的自护能力、自我效能感和生活质量,缩短患者的住院时间,并且患者的满意度高。Objective To explore the application effect of interactive health education combined with Orem theory intervention in elderly patients with bone tumors.Method A total of 82 elderly patients with bone tumors who underwent limb salvage surgery were divided into observation group(n=40,interactive health education combined with Orem theory intervention)and control group(n=42,conventional intervention)according to different intervention methods.The self-efficacy[Chinese-version strategies used by people to promote health(C-SUPPH)],self-care ability[exercise of self-care agency scale(ESCA)],quality of life[quality of life instruments for cancer patients(QLICP)],satisfaction and length of hospital stay were compared between the two groups.Result After intervention,the dimensional scores of C-SUPPH,ESCA and QLICP in two groups were higher than those before intervention,the dimensional scores of C-SUPPH,ESCA and QLICP in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total satisfaction rate in observation group was higher than that in control group,the length of hospital stay was shorter than that in control group,and the differences were statistically significant(P<0.05).Conclusion Interactive health education combined with Orem theory intervention can effectively improve the self-care ability,self-efficacy and quality of life of elderly patients with bone tumors,shorten the length of hospital stay,and the satisfaction of patients is high.

关 键 词：互动式健康教育 Orem理论干预 老年 骨肿瘤 

分 类 号：R738.1[医药卫生—肿瘤]